Observational studyThe bone & joint journal2014
Patient-reported outcome is influenced by surgical approach in total hip replacement: a study of the Swedish Hip Arthroplasty Register including 42,233 patients.
Observational study in The bone & joint journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed.
- Comparison of postoperative outcomes between bikini-incision via direct anterior approach and posterolateral approach in simultaneous bilateral total hip arthroplasty: a randomized controlled trial.Scientific reports · 2023Trial
- Long-term (> 10 years) clinical outcomes of instrumented posterolateral fusion for spondylolisthesis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2021Trial
- Comparison of clinical results and patient's satisfaction between direct anterior approach and Hardinge approach in primary total hip arthroplasty in a community hospital.Musculoskeletal surgery · 2017Trial
- Patient-reported outcome after total hip arthroplasty: comparison between lateral and posterior approach.Acta orthopaedica · 2017Trial
- Prosthesis-Related Risk Factors for Trunnionosis: A Comprehensive Literature Review.Clinics in orthopedic surgery · 2026Review
- Explainable machine learning for orthopedic decision-making: predicting functional outcomes of total hip replacement from gait biomechanics.Arthritis research & therapy · 2025Article
- A Comparative Analysis of Functional Outcomes between Lateral and Posterolateral Approaches in Total Hip Arthroplasty.Advanced biomedical research · 2025Article
- Feasibility of automated surveillance of implantable devices in orthopaedics via clinical data warehouse: the Studio study.BMC medical informatics and decision making · 2024Article
- Patient-Reported Outcome Measures in High-Risk Medical Device Registries: A Scoping Review.Aesthetic surgery journal. Open forum · 2024Article
- Validation of the first computerized indicator for orthopaedic surgical site infections in France: ISO-ORTHO.Antimicrobial resistance and infection control · 2023Article
- Patient-reported outcomes among patients undergoing total hip replacement in an integrated care system and in a standard care system in Region Stockholm, Sweden.BMC health services research · 2022Article
- Feasibility and acceptability of electronic EQ-5D-5L for routine measurement of HRQOL in patients with chronic musculoskeletal problems in Hong Kong primary care.Health and quality of life outcomes · 2022Article
- Loss to patient-reported outcome measure follow-up after hip arthroplasty and knee arthroplasty : patient satisfaction, associations with non-response, and maximizing returns.Bone & joint open · 2022Article
- Longitudinal study of patients' health-related quality of life using EQ-5D-3L in 11 Swedish National Quality Registers.BMJ open · 2022Article
- [Avulsion injuries of the gluteus medius and gluteus minimus muscles].Der Unfallchirurg · 2021Review
- Histological and ultrastructural degenerative findings in the gluteus medius tendon after hip arthroplasty.Journal of orthopaedic surgery and research · 2021Article
- Article
- Influence of fast-track programs on patient-reported outcomes in total hip and knee replacement (THR/TKR) at Swedish hospitals 2011-2015: an observational study including 51,169 THR and 8,393 TKR operations.Acta orthopaedica · 2020Observational
- What the Surgeon Can Do to Reduce the Risk of Trunnionosis in Hip Arthroplasty: Recommendations from the Literature.Materials (Basel, Switzerland) · 2020Review
- Does surgical approach influence mid- to long-term patient-reported outcomes after primary total hip replacement? A comparison of the 3 main surgical approaches.Canadian journal of surgery. Journal canadien de chirurgie · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The effects of surgical approach in total hip replacement on health-related quality of life and long-term pain and satisfaction are unknown. From the Swedish Hip Arthroplasty Register, we extracted data on all patients that had received a total hip replacement for osteoarthritis through either the posterior or the direct lateral approach, with complete pre- and one-year post-operative Patient Reported Outcome Measures (PROMs). A total of 42 233 patients met the inclusion criteria and of these 4962 also had complete six-year PROM data. The posterior approach resulted in an increased mean satisfaction score of 15 (sd 19) vs. 18 (sd 22) (p < 0.001) compared with the direct lateral approach. The mean pain score was 13 (sd 17) vs. 15 (sd 19) (p < 0.001) and the proportion of patients with no or minimal pain was 78% vs. 74% (p < 0.001) favouring the posterior approach. The patients in the posterior approach group reported a superior mean EQ-5D index of 0.79 (sd 0.23) vs. 0.77 (sd 0.24) (p < 0.001) and mean EQ score of 76 (sd 20) vs. 75 (sd 20) (p < 0.001). All observed differences between the groups persisted after six years follow-up. Although PROMs after THR in general are very good regardless of surgical approach, the results indicate that some patients operated by the direct lateral approach report an inferior outcome compared with the posterior approach. The large number of procedures and the seemingly sustained differences make it likely these findings are clinically relevant.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.